García-Gallegos DJ, Luis-López E

Language: Spanish
References: 24
Page: 14-19
PDF size: 286.17 Kb.

ABSTRACT

Background: It is not known if patients with prediabetes, a subgroup of non-diabetic patients that usually present hyperinsulinemia, have higher risk to present stress-induced hyperglycemia. The objective was to determine if prediabetes is a risk marker to present stress-induced hyperglycemia.
Methods: Analytic, observational, prospective cohort study of nondiabetic critically ill patients of a third level hospital. We determined plasmatic glucose and glycated hemoglobin (HbA1c) at admission to diagnose stress-induced hyperglycemia (glucose ≥ 140 mg/dL) and prediabetes (HbA1c between 5.7 and 6.4%), respectively. We examined the proportion of non-prediabetic and prediabetic patients that developed stress hyperglycemia with contingence tables and Fisher’s exact test for nominal scales.
Results: Of 73 patients studied, we found a proportion of stress-induced hyperglycemia in 6.6% in those without prediabetes and 61.1% in those with prediabetes. The Fisher’s exact test value was 22.46 (p ‹ 0.05).
Conclusions: Prediabetes is a risk marker for stress-induced hyperglycemia in critically ill adults.

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